presentations

In celebration of the HLG2018 conference slides having emerged it is time for some reflections.

This was my first time at Keele University and it was good to explore somewhere new (though not ideal as a conference venue since having found it on the map I then joined the general head scratching about how to get there). I spent an unhappy hour on the bus from Stoke on Trent and was very fortunate to find a cab to share to get away again at the end. The campus itself was green and pleasant all be it largely shut down for the summer.

I arrived a day ahead for the HILJ editorial advisory board (EAB). We had a very productive discussion on the peer review set up for the journal. Changes should make the peer review reports both easier to complete and more useful for the editorial team. I was very aware that I do little reviewing and have since made a point of completing one for the journal with the aim to do more in future. I also continued to flag my idea of driving ownership of the journal amongst HLG members by encouraging a quarterly CPD discussion group (more on this another time or see CILIP SocialLink stream under HLG!). My involvement in the EAB is great for gaining an insight into the academic processes around journal publication. Do publish in HILJ folks!

A theme for the conference was wellbeing and as part of this I had volunteered to lead a run on the first morning. I had an initial scout around and got totally lost and we then had a very successful #libraruns effort the next morning (where I lost most of the runners). A good time was had by most (if you run and use strava then join the libraruns club).

The conference started with an update from Nick Poole offering general news of things CILIP. I get the impression Health remains one of the stronger parts of the membership. We then heard from Dr Mark Murphy who got us thinking about grey areas in evidence and various lens through which we should consider Evidence Based Medicine.

I attended a session of a Knowledge for Healthcare related working group looking at stats for the NHS LKS. I may have ended up going off at the deep end about metrics and do feel that the group have been given a brief somewhat too close to the one the metrics group already covered.

I was very taken with a presentation I did not attend (the wonders of twitter to be in more places at once) on a QI bookcase and linked up subsequently with the speaker to learn more.

Good fortune meant I chaired the session where Stevie Russell updated on the work of African Hospital Libraries I am very interested in the work of this charity and have managed to make some headway with making it an area of concern for my own service. The other talk in the session was on a developing tool for providing Current Awareness Services to biomedical scientists using machine learning. There was definitely something interesting there but it felt like something of a work in progress and one where librarians experience around delivering CAS could be very helpful.

My favourite talk of the conference was by Kate Misso on reducing waste in systematic review work through the input of librarians to the search process. It was shocking to realise the poor quality of much of the searching under pinning systematic reviews with implications for the findings and reproducibility. My least favourite was probably laughing yoga which I attended reluctantly as I wanted to hear the Biship and Le Fanu lecture on Evidence Aid that followed it.

For my own part I brought a poster on work I carried out around creating a simple title scheme to support guideline retrieval.

I always enjoy HLG conferences and 2018 was no exception (see my triumph in the raffle at the top of the post!). It remains a key opportunity to catch up with colleagues and get a feel for what is happening around the place.

The #NHSHE2016 conference was more than just a poster competition and a chance to catch up with good colleagues.

There was the usual full programme of talks. It was useful to hear about some of the new structures in the NHS around STPs (Sustainability & Transformation Plans AKA Sticky Toffee Pudding AKA Secret Tory Plans) with Local Workforce Action Boards (LWABs) a new one on me and seemingly a useful place to seek involvement. Within the developing STP picture there is less emphasis on organisational boundaries. A big drive for a digital ready workforce should also have implications for us – support for effective working in an online environment is something we could plug into.

Louise Goswami gave a good run through on KfH progress. The patient and public area was the newest on me and it was good to get a view of the breadth of work in this area. The patient and public is not a natural match for HE based libraries – it was good to see ideas for how we can support the Trust in their work with these groups rather than perhaps taking a direct patient facing role.

Sue Lacey-Bryant gave a great talk on efforts to advance “mobilising evidence and organisational knowledge” AKA Knowledge Management. There are concrete tools and training coming that can help us make this a reality which is great as I have long maintained an interest without advancing very far (see this since abandoned 2008 blog where I read Learning to Fly). There will be a campaign #amilliondecisions advocacy championing expertise of librarians and knowledge in mobilising evidence.

I was really pleased to participate in an innovation presentation session. I spoke about how I made our annual reports for NHS partners more engaging and useful for all concerned. The slides are pretty simple in that they consist largely of a lightly edited version of the report.

The style is very much based on that used by the University of York for their action plans. The talk was well received – both in terms of winning first prize in a public vote but also in terms of people discussing it with me afterwards. I had a similar experience when I shared it with colleagues in my local network so it was great to be able to spread this further. I plan to follow up in the Spring to see if any NHS colleagues have gone with it following the talk.

A few thoughts follow to build on the content in the slides for those not around at the time / to make them a bit more helpful generally.

As my talk progressed I became very aware of how the metrics work linked closely to my day to day. We operate in a functional structure and I am part of a team responsible for Partnership & Liaison. This translates for me into wanting to have lots of meaningful conversations with people. Metrics are a means to that end. I didn’t mention it during my talk but this year I produced Annual Action Plan style reports (a la York) for the NHS Trusts I work with. These proved much more engaging than my old annual report. They featured a small number of carefully picked metrics with explanations of what I thought they might mean.

The presentation builds through the various models / methods we considered as we researched the use of metrics. It was good to tap into experience in the room of why our measures can be unconvincing, hard to share and obscure. I was really pleased to find by chance (picked up from the weeding trolley at work) a 1990 text by some of the greats “Quality assurance in libraries: the healthcare sector” which strongly affirmed the areas people were focusing on and some of the approaches under way. Not much changes in the end.

We ended up with four overarching principles for good metrics

Meaningful – the core of this is that the metric must be something people (other than you) care about. It should be aligned to organisational objectives and be readily understood by stakeholders. You need to talk them about it! An extension of this is to remember that framing metrics as a target should be approached with caution. There is the potential to set targets for the sake of it that will lack meaning for stakeholders. Tell them how you are performing and then discuss whether this is more or less than they need. Metrics need to be kept under regular review to reflect changing priorities and remain meaningful.

Actionable – for a metric to be useful for us it needs to be in an area we can influence. If we cannot make it move one way or the other it then we don’t want to be held accountable for it. A good metric will drive changes of behaviour and service development. We also need to remember that the metric is only an indicator and we need to carry out appropriate research to back up what we suspect the figures are telling us.

No numbers without stories – no stories without numbers

Reproducible – this principle contains quite a lot. It starts from the position that tracking a metric is a piece of research. Accordingly we need to be transparent about our methods and we need to be so before we collect the data. We should use the best data available to us. Replication implies that we should get consistent results if two people examine the same thing at the same time. Finally we also want our metric data collection to not be excessively burdensome. If it takes two solid months to crunch the data then it probably isn’t reproducible (or you would really have to get an awful lot from it).

Comparable – finally we want metrics that allow us to see change over time. Often we will need to recognise that this can only be internally. We may be able to look to benchmark externally but we should be realistic. Even if we are transparent it will remain difficult to establish consistent data and there are frequently influencing factors that we may or may not be aware of. For example – what is the impact of being in a Trust three times bigger? or with three sites? or thirty? what kind of staffing model is in place? how is the service funded and delivered?

All this is a fair bit to keep in mind so the Metrics task and finish group prepared a Quality Metrics Template. This is designed to support people in creating, documenting and sharing their metrics. The slides include a worked example and others were distributed in the room for the final group work section were people had a chance to start drafting some out or just discuss the principles.

In discussion the potential was seen to use completed templates as the basis of a process of refinement seeking best of breed metrics around particular questions. Hopefully a tool will be available to collect them in the first instance and then an approriate group might be assembled. There was some concern that metrics might be imposed but this strikes me as unlikely. The diversity of services and the needs of local stakeholders mean that one size will definitely not fit all. There was discussion of the NHS national statistics return and the importance of considering these in the light of the principles.

I hope people will find the principles and template useful. It was great to talk to such an enthusiastic audience. More conversations please!

A few thoughts while #HLG2016 remains fresh in the mind. Hopefully there will be a good number of reflections shared in the coming days (Abi Alayo has been quick off the mark with her thorough posts for the first and second day. I am likely to be less thorough!

The conference had a packed agenda but it is the window to talk to so many colleagues that really makes it. This started ahead of time on twitter with the depth of adoption of this channel continuing to grow (NodeXL analysis of patterns of use, language and so on). The journey up offered time for initial conversations and the world was partially set to rights with Ben Skinner on a later than hoped for train from York. One of the topics was around the challenge of liberating the data that we hold and need to use (more on this in another post).

Safely arrived at the Royal there was time to help some guy push his slush puppy cart into an arcade and to buy three pints and half a coke for £7.70 (Seven pounds seventy pence London pub drinkers vidiprinter) down on the harbour side.

The next morning started with the pleasure of finally meeting Michael Cook after years of being in contact online. Running along the sea front was a great way to open the day and to get a feel for the fog. This was one of at least a couple of semi organised runs by delegates and it would be a nice thing to continue at future events.

The conference venue was the Scarborough Spa which had a slightly faded glamour but met our needs overall (the wifi worked!). The shifted date was less successful with the Higher Education contingent clearly reduced due to student inductions already being underway or looming.

There was a strong Knowledge for Healthcare theme throughout the two days which may have been off putting for some. This is balanced to some extent by the extent to which the products of KfH workstreams are publicly available and often widely applicable. The volume and quality of work going on is impressive with tool kits in all directions. Work on increasing the role of centralised procurement rang some alarm bells for me – we have moved from £2mill spent centrally to £4mill but the view is that some £12mill could be spent this way. That money is unlikely to be new money! Efforts to look to the future of staffing are also welcome with another leadership programme and a development path for senior managers on the way. I suspect there are non NHS health folk on the current leadership programme and I really hope so as it is important to get a wider perspective where possible.

I forget how long it is since the introduction of “Do once and share” but duplication of effort remains stubbornly persistent. The work on Current Awareness illustrated this clearly with over 700 bulletins under production just from the people who responded to a survey on this. Approaches around consolidating these while establishing best of breed models feels overdue. The guideline on good bulletin production will be one to watch for.

My own session on metrics drew a larger crowd than I had hoped for with pretty much a full room. It brought home to me the need for additional efforts to explain how the principles we developed for good metrics can be applied. In a similar way to the CAS bulletins I could see the germ of a plan to develop best of breed metrics based around shared templates. There was some confusion over whether this was an additional piece of work or a replacement for national statistics returns. In essence I hope the principles will be used as part of the national statistics review to inform any changes. What I hope I expressed strongly during the talk was that the interest in metrics is mostly the extent to which they can drive useful conversations – with our stakeholders and with each other. Through out the conference we were reminded of the importance of being active in the boardroom as well as at the bedside. Having something concrete to talk about that responds to the priorities of senior stakeholders must be a good thing. I will make some tweaked slides for the web and blog them in the next few days.

After the rush of presenting we then had a fun conference dinner from which I may have escaped with slightly too much CILIP HLG rock!

A pair of keynotes kicked us off well on the second day with Nick Poole running through progress at CILIP and recognising the impact of health library and information professionals work. I hope the new model for subscriptions and improving offer will have the desired effect to widen participation and membership. This was followed by a moving talk from Lynn Daniel on the Expert Patient Programme. While I am sure I was not alone in wondering about the evidence base for some of the interventions proposed it was clear that her work has considerable impact on peoples lives with access to information at the heart of it.

The expert work of Judy Wright in supporting research proposals was fascinating and highly relevant to some of the thinking I am doing about search support for my own organisation. This along with a number of discussions I had made we wonder a little as to how up to scratch our skills are in these areas. While there are some seriously well equipped librarians out there I certainly feel that I know less about systematic review and other advanced searching than I would like. As we shift to delivering more highly specialist work and automation advances we need to ensure that we can maintain credibility. More thoughts on this to come in another blog post.

Other useful talks were Jo Milton from Cambridge on UX work (experience sharing planned for the future) and Andrew Brown looking at RoI. The RoI work confirmed how hard this is to do well and the risks associated with starting to move into the realm of putting a price on all things.

HLG committee were keen to hear about ideas for what else we might do. The potential for holding HLG Conference annually was suggested. I wonder whether we might run something like the UKSG one day event which combines a trade fair with a selection of talks? A notable difference is that this is a free event to attend. We could look to make the overall cost lower (no lunch unless a sponsor covers?) to allow this. I would also like to see HLG campaign with members to increase uptake of revalidation. The concept of regular revalidation is understood and undertaken by many of those we work closely with. HLG can lead the way on raising use of this method and normalising it across the profession.

We emerged from the fog as the train whisked us off home. This felt like an important conference and reminded me how much I love working in the health information community. There is no doubt that significant progress is being made across many areas of work. There is also no doubt that financial pressure is going to be intense for most of us. The call to engage with NHS Sustainability and Transformation Plans, with the patient information agenda and with making the future we want to be part of has to be heeded.

This was my first attendance at the UKSG conference. Having mostly been focussed on health information and NHS needs (and with an NHS training budget) I tended to focus my conference attendance on HLG. I was lucky enough to be able to take my talk on extending ejournals to the NHS for a last outing (slides above) and brilliantly this meant UKSG covered my conference fees, hotel and train ticket. If I ever come up with anything that would fit with UKSG interests again I would submit again for that reason alone!

What interests UKSG was one of the questions I came away with. The range of talks was very wide encompassing apps, open access, open data, copyright, discovery, ethnography and other letters of the alphabet (search UKSG for talk recordings). While I was interested in many of the things I attended they often felt less practical than the average HLG talk. This perhaps reflected the high level of a number of speakers or the very particular specifics of their examples. It almost certainly reflects my ongoing health focus. The open access side was probably the most interesting for building my knowledge. I did not have any great moments of revelation.

My favourite session was on ethnographic approaches. This an area increasingly in the spotlight and a likely candidate for my next years objectives. It was great to hear about the progress of research by @librarygirlknit and @llordllama (and a big pleasure to have met both of them IRL for the first time). I need to think about how to use these approaches to understand activity away from the library.

The HEFCE review of metrics sounds like it should be a good read but sadly won’t see the light of day till after the election. I enjoyed the presentation on efforts at Faber to make money from digital outside of the sale of ebooks. Having been tempted into buying one of their beautiful editions recently I had been impressed by their website. The model seems to be one of building loyalty and a community of a sort around both their core products but also desirable crafted items. There was some commentary for and against this fetishisation of the book on social media. I think it seems a good way to go – the basic edition remains available and the objects created are useful and beautiful passing the William Morris test.

I was pleased with how my sessions went. Both times there were a good number of people and some really interesting discussion was prompted. Having to spell out a lot of the NHS jargon meant there was no problem timing wise. It took about twice as long as at HLG to deliver a similar volume of material! It was also great to have the chance to talk to lots of publishers about licence extensions. Hopefully a few of these discussions will bear fruit.

The conference itself was very slickly organised (even the wifi worked OK). The social programme was fun though I tapped out early from the Ceilidh. No MD20/20 was served and no Teenage Fanclub played (to my knowledge).

So I had grand plans to kick off 2015 at a fast pace cracking on with all sorts of plans. Then I caught some sort of lurgy and basically conked out. Now that I am recovered it is time to make a start. So plans…

I enjoyed popping things on this blog so that will continue.

I will carry on with the catch up on the ClLIP Update backlog (I have one in my bag that I read before Christmas still awaiting thoughts here). I plan to expand on this by looking closely at an article from each issue of HILJ and hopefully getting some conversation going around this.

After the successful revalidation for my 2013 CPD I will repeat the process for 2014. As part of this I want to complete the PKSB.

I am looking forward to running a couple of workshops at the UKSG Conference.

I will have my first written exam for some time for the AKC and need to get serious on the reading front for this.

I want to work out a potential writing project but not going to commit myself publicly on this at present.

After reading about the Informed blog the other day I was looking for a memory stick and came across the HLG Conference presentation I gave about (the) Health Informaticist group blog I used to write for.

Fun to note is the extent of the click baity nature of the presentation title. Within a few hours it had already had nearly a hundred views (though it then slowed down) without me having made any effort to push it. Another (very exciting) presentation about a small library refurb has drawn fewer (ahem) views.

Nice to think about it being seen by a few more people as the original presentation was seen by about fifty people and I doubt many found it on the HLG site this is probably the most people who have had access to it. The fairly obvious merits of putting things where people can find them.